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Prepare for your exams
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Earn points by helping other students or get them with a premium plan
DEVOTED HEALTH AGENT CERTIFICATION 2024
Typology: Exams
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Mrs. Carson is a worrier and admits that she is often confused when it comes to navigating her health plan and the healthcare system. She asks Joyce, her Devoted Sales Agent, who she can contact if she needs help once she becomes a Devoted Health member. How Should Joyce respond? - Answers- "As your Devoted Sales Agent, you can always call me with questions, but additionally Devoted has an entire Guide Team dedicated to simplifying your healthcare experience. In addition to them periodically reaching out to you, you can always call them with questions. They want to hear from you." Luis lives in Phoenix and receives full subsidy low income subsidy (LIS). He is reviewing Devoted's MAPD options with his agent, Wayne. Which statement is most appropriate for Wayne to make regarding Luis' options? - Answers- Because Luis receives the full low- income subsidy (LIS) from SSA or the Federal government, he would not be subject to paying the premium on the Devoted Health Select/Prime/Premium plans and may suit his needs best. The Devoted Health Guides... - Answers- Consist of a team of clinical and service professionals who work together for each of our members. How many days in advance must agents register informal or educational events with Devoted Health? - Answers- 7 days What are Devoted Health's core ingredients? - Answers- Newer MA plan, tech platform, strong provider partnerships, Devoted Guides, Devoted Medical Group Which of the following is a main component of our model of care? - Answers- All of these Mr. Finn, an agent with Devoted Health, is giving a sales presentation and wants to provide some food for his guests. What can Mr. Finn provide? - Answers- Light refreshments or snacks. What are the different plan options offered by Devoted Health? - Answers- HMO, PPO, DSNP, CSNP, HMO MA- only, PPO MA-only. On May 10, Devoted Sales Agent, Jackie, gets a call from Mr. Seinfeld stating that he is permanently moving from Cuyahoga county, Ohio to a beach condo in Palm Beach county, Florida on June 1. He wants to know if and when he should change his Devoted Health plan. What should Jackie tell him? - Answers- Because Mr. Seinfeld is leaving his current plan's service area and moving to a new one, Jackie can instruct him that he must switch from the Devoted plan in Cuyahoga county to the Devoted plan in Palm Beach, and that he can do so one month prior to his move and up to two months following the move. Additionally he can do so by calling Devoted Health to make the plan change and Jackie will remain as his agent of record (AOR)
Devoted Health HMO members... - Answers- Must choose an in-network primary care physician at the time of enrollment. Which answer best describes some of the extra benefits offered on Devoted Health plans? - Answers- All of these are extra benefits, plus more... Devoted Health's value proposition is to... - Answers- All of these are a part of Devoted Health's value proposition Which of the following is not required part of the Devoted Health sales presentation - Answers- Request the beneficiary's latest physical exam report Mrs. Davis is a Devoted Health HMO member and on March 21st calls Angie her Devoted sales agent stating that she wants to switch her primary care physician (PCP). What can Angie tell Mrs. Davis? - Answers- She can call her Devoted Guide Team and they would be happy to assist her in choosing a new one to effective the beginning of April. In which of the following settings is a Scope of Appointment form NOT required be collected? - Answers- A sales seminar advertised in the local newspaper. Mr. Malone wants to enroll in a Devoted Health Medicare Advantage plan during the Medicare Annual Enrollment Period. He can do so by... - Answers- He can enroll through all three of these methods. In what situation is an agent representing Devoted Health required to review the entire summary of benefits during a compliant sales presentation to a prospect... - Answers- On every sales presentation. What type of events must an agent report to UnitedHealthcare? - Answers- Only the marketing/sales events, both formal and informal. (WRONG) While using LEAN to complete an enrollment application with a consumer, Agent Jeff learns the consumer does not have an email address. What should Jeff do? - Answers- Leave any field requesting a consumer email address blank. Which election period occurs from October 15 to December 7? - Answers- AEP Annual Election Period Agent Kim is conducting an event that has been advertised as educational. Which activities are permitted at an educational event? - Answers- Displaying and distributing business cards and lead cards, scheduling one-on-one marketing appointments, and obtaining scope of appointment forms.
By signing the Statement of Understanding, the consumer: - Answers- Acknowledges that they clearly understand that they are enrolling in a plan, combined with knowing the specific plan in which they are enrolling. What is the definition of Fraud? - Answers- Fraud is intentionally misrepresenting or concealing facts to obtain something of value. Which of the issues below are examples of Fraud, Waste and/or Abuse? (Select 3) - Answers- 1 - Using another person's medical insurance information to obtain prescriptions. 2 - The pharmacy splits the original prescription to receive additional dispensing fees.3-Falsifying signatures or medical records.